Mailing Address
Part 4. Information About Your Children
(continued)
37.a.
Street Number
and Name
Mailing Address
37.b.
Apt.
Ste.
Flr.
27.a.
Street Number
and Name
37.c.
City or Town
27.b.
Apt.
Ste.
Flr.
37.d.
State
37.e. ZIP Code
27.c.
City or Town
37.f.
Province
27.d.
State
27.e. ZIP Code
37.g.
Postal Code
27.f.
Province
37.h.
Country
27.g.
Postal Code
27.h.
Country
38.
Is this child currently living with you?
Yes
No
39.
Is this child applying with you?
Yes
No
28.
Is this child currently living with you?
Yes
No
40.
Current Immigration Status (for example, conditional
permanent resident, tourist/visitor, entered without
29.
Is this child applying with you?
Yes
No
inspection)
30.
Current Immigration Status (for example, conditional
permanent resident, tourist/visitor, entered without
inspection)
If you need extra space to complete this section, use the space
provided in Part 12. Additional Information.
Child 4
Part 5. Biographic Information
31.a. Family Name
1.
Ethnicity (Select only one box)
(Last Name)
Hispanic or Latino
31.b. Given Name
(First Name)
Not Hispanic or Latino
31.c. Middle Name
2.
Race (Select all applicable boxes)
32.
Gender
Male
Female
White
Asian
33.
Alien Registration Number (A-Number) (if any)
Black or African American
►
A-
American Indian or Alaska Native
34.
USCIS Online Account Number (if any)
Native Hawaiian or Other Pacific Islander
►
3.
Height
Feet
Inches
35.
Date of Birth (mm/dd/yyyy)
4.
Weight
Pounds
Other Names Your Child Has Used
5.
Eye Color (Select only one box)
List all other names your child has ever used, including aliases,
maiden name, and nicknames. If you need extra space to
Black
Blue
Brown
complete this section, use the space provided in Part 12.
Gray
Green
Hazel
Additional Information.
Maroon
Pink
Unknown/Other
36.a. Family Name
6.
Hair Color (Select only one box)
(Last Name)
36.b. Given Name
Bald (No hair)
Black
Blond
(First Name)
Brown
Gray
Red
36.c. Middle Name
Sandy
White
Unknown/Other
Form I-829 04/21/17 N
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